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Esomeprazole is the (S)-(−)-enantiomer (or less specifically the S-isomer) of omeprazole. [11] It works by blocking H + /K +-ATPase in the parietal cells of the stomach. [11] It was patented in 1993 and approved for medical use in 2000. [14] It is available as a generic medication and sold over the counter in several countries.
Esomeprazole (OTC and Rx-only in the US and Australia) [86] Ilaprazole (not FDA-approved as of July 2019) Lansoprazole (OTC and Rx-only in the US) [85] Omeprazole (over-the-counter drug) [86] Pantoprazole [87] Rabeprazole [88] There is no clear evidence that one proton pump inhibitor works better than another. [1] [89]
AstraZeneca also developed esomeprazole (Nexium) which is a eutomer, purely the (S)-enantiomer, rather than a racemate like omeprazole. [medical citation needed] Omeprazole undergoes a chiral shift in vivo which converts the inactive (R)-enantiomer to the active (S)-enantiomer, doubling the concentration of the active form. [59]
To prevent dryness, consider using an over-the-counter nasal saline spray or gel. “They are like lotion for a dry or irritated nose,” says Dr. Edwards. “Saline is helpful for most nasal ...
Aspirin is an over-the-counter medication used for a variety of reasons, but particularly in heart attack and stroke prevention for older people. Dr. Michael J. Blaha, MD, ...
Over-the-counter (OTC) medicines at FamilyDoctor.org, maintained by the American Academy of Family Physicians. Contains extensive information on over-the-counter drugs and their responsible use, including specific guidance on several drug classes in question-and-answer format and information on common drug interactions.
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